Table Of ContentPaolo Gontero
Roger S. Kirby
Problem Culley C. Carson III
Editors
Based Urology
123
Problem Based Urology
Paolo Gontero (cid:129) Roger S. Kirby
Culley C. Carson III
Editors
Problem Based Urology
Editors
Paolo Gontero Culley C. Carson III
Dipartimento di Scienze Chirurgiche Department of Urology
Università degli Studi di Torino University of North Carolina
Torino Chapel Hill
Italy NC
USA
Roger S. K irby
Department of Urology
The Prostate Centre
London
UK
ISBN 978-1-4471-4633-9 ISBN 978-1-4471-4634-6 (eBook)
DOI 10.1007/978-1-4471-4634-6
Springer London Heidelberg New York Dordrecht
Library of Congress Control Number: 2013935623
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In memory of Silvia, my beloved sister.
Paolo
Foreword
As the authors of this book state in their Preface, their aim is to produce something
which is user-friendly and is primarily intended for general practitioners. The
authors also mention that urological problems represent a signifi cant amount of
work for primary care physicians in their everyday practice. Their purpose, there-
fore, was to address the concerns which general practitioners might have relating to
diagnosis and treatment of urological conditions and when to refer them for special-
ist care.
This excellent book fully addresses these problems and will make the task of
deciding which patients need to be referred on for specialist evaluation a great deal
easier. In order to facilitate this the urological problems are presented here in a
rather novel way, in that there are three sections which cover different ways in which
these conditions may present: either as urological symptoms, or urological abnor-
malities on imaging or as urological abnormalities on blood and urine testing. The
decision charts and the explanatory text in this book should ensure that those indi-
viduals who need further investigation are appropriately cared for, while those
whom it is safe to treat in primary care are not needlessly sent into the hospital sys-
tem. Against a background of stretched healthcare budgets and increasing litigation
against doctors, for among other things, delayed and misdiagnosis, this volume
could hardly have been more timely.
I would like to congratulate the authors on editing a highly informative and edu-
cational volume, which addresses an important issue and is also easy to read.
John M. Fitzpatrick
MCh, FRCSI, FEBU, FC Urol (SA), FRCSGlas, FRCS
vii
Preface
Dear reader,
This book is primarily intended for general practitioners as an aid to in dealing with
urological problems, which currently represent a signi fi cant burden in their every-
day practice.
One of the major concerns for GPs is how far to go themselves in the diagnosis
and treatment of the most commonly encountered urological diseases or when to
refer the patient for specialist care. As specialists in the fi eld of urology, we have
attempted to provide a user-friendly guide to decision making in the major urologi-
cal problems. We have made suggestions for the most appropriate timing for referral
to specialist care and the types of information (investigations) with which the
patients should be referred to the specialist.
Urological problems have been grouped into three sections, addressing urologi-
cal symptoms (Part I ), urological abnormalities on imaging (Part II ) , and urological
abnormalities on blood and urine tests (Part I II ). The chapters have been covered by
internationally recognized experts in each speci fi c fi eld. Flow charts and tables are
intended to guide the reader, step by step, through the differential diagnosis for each
urological problem.
We have tried to emphasize the key position of GPs in leading the diagnosis and
treatment of most urological problems, resulting in a more appropriate specialist
referral.
We hope we have succeeded in our task!
Paolo Gontero
Roger S. Kirby
Culley C. Carson III
ix
